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College of Agriculture and Life Sciences Freshman Scholarship Application

Priority application Period: September 1 through December 1.

Applications may be received after December 1. Applications received between December 1 and May 1 will be considered for a limited number of scholarships as supplies last.

Instructions

Be sure to use proper capitalization (not ALL CAPS, not all lowercase). For example: Mary Smith, 123 Main Street, Hometown, IA 12345. Please do not use nicknames. Proofread before submitting. Applications with errors in ID numbers cannot be reviewed. Once you submit the application, it will be gone from your computer and you will not be able to save or make changes.

Student Contact Information

First Name *

Middle Name

Last Name *

University ID *

Middle 9 digits. Do not user your social security number.

E-mail Address *

Permanent Address / Guardian Information

Street Address

City

State

County

County needed for Iowa residents only.

5 Digit Zip Code

Phone

Is one-half or more of your family income derived from farming?

Yes

No

Academic Information

Major/Curriculum

GPA

Name of your high school

Number of students in your graduating class

Rank in your graduating class

Leave blank if class was not ranked

Composite ACT Score

SAT Score (optional)

Activities and Leadership Information

List participation in high school and community organizations, years active, and leadership roles. (Scouts, 4-H, FFA, etc.) List each organization or activity only once, indicating your highest level of participation. Limit your answer to the six you feel are most important.

Organization 1

Organization 1: Number of Years Active

Organization 1: Highest level of participation

Organization 2

Organization 2: Number of Years Active

Organization 2: Highest level of participation

Organization 3

Organization 3: Number of Years Active

Organization 3: Highest level of participation

Organization 4

Organization 4: Number of Years Active

Organization 4: Highest level of participation

Organization 5

Organization 5: Number of Years Active

Organization 5: Highest level of participation

Organization 6

Organization 6: Number of Years Active

Organization 6: Highest level of participation

Farming

Check here if you are you planning a career in farming or livestock production

Career Goals

Please describe your career goal or what you would like to be doing 5 years after college graduation. (Limit your response to 100 words). Be specific.

For Need-Based Scholarships

We will access your financial aid information from the Office of Financial Aid. Be sure to file FAFSA by the priority deadline of December 1 to be considered for financial need-based scholarships.

Information Release

By submitting this form I am verifying that all the information I have provided is true and accurate. If selected for a scholarship, I understand my name may be included on the list of scholarship recipients for hometown newspapers press releases.